Re: FW: [OANDP-L] Local prosthetist medicare rip off?

Re: FW: [OANDP-L] Local prosthetist medicare rip off?

Sam Hamontree

10/5/2006

I think the post by Mr. Hime was one of the most professional and
meaningful ones we see. His position too, was right on target. I have
been sitting here trying to frame in my mind, a comment on the Cartaya
post - which I consider significantly off base.

I have to wonder if the patient being discussed by Cartaya, was treated
by a local prosthetist who might be a pain in Cartaya's side.
Regardless, his ListServ presentation was totally unprofessional and
serves to no ones benefit, unless it is Cartaya's - in his mind.

Sam E. Hamontree, CP
OrPro, Inc.
Irvine, CA

-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Shandon Hime, CP
Sent: Thursday, October 05, 2006 7:00 AM
To: <Email Address Redacted>
Subject: [OANDP-L] FW: [OANDP-L] Local prosthetist medicare rip off?

-----Original Message-----
From: Shandon Hime, CP [mailto:<Email Address Redacted>]
Sent: Thursday, October 05, 2006 9:56 AM
To: <Email Address Redacted>
Subject: RE: [OANDP-L] Local prosthetist medicare rip off?

In regards to the 51 Y/O TF patient that was fit with the microprocessor
control knee joint. From your post he is a low functional level K3
patient
and is capable of independent ambulation. From your limited patient
information this is a good candidate for this technology. It would be
more
constructive to replace the ill fitting socket than to give the
impression
that our profession routinely rips off insurance companies. This way
you
prove that our profession provides the necessary integrity and skills to
produce a successful patient out come. If this other company is your
competitor, you prove that you can provide much better patient care. Do
this enough times and they will not be a competitor any more, or they
will
improve there clinical skills and compete with you. In the end, the
amputees that need our professions help in your area will be better
severed
though better patient care.

-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Phillipe Cartaya CPO
Sent: Wednesday, October 04, 2006 8:30 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Local prosthetist medicare rip off?

 Thought I would share this with you Unfortunately we have all seen it
but i
Was even taken aback by this. A 51 yr old A/K was sent to me with a
prostheses made for him by another company he limped in wearing a Rheo
computer knee on top of a ceterus foot. probably the most expensive
system
that could have been put on him.He was a high K2 high k3 . he certainly
didn't come close to doing any activity that would warrant this system
Of
course with the cheapest socket, just laminated. This poor guy wasn't
even
close to being a candidate for this.You would think with the extra money
the
prosthetist made he would have at least sprung for a flex inner socket
so
the guy MIGHT have been comfortable. The prox socket had been cutting
into
him since January when he received it hehas een stuffing socks into the
prox brim. He was a very long A/K so he had a locking mech under the
socket
with the length of the ceterus foot and rheo knee, imagine how low the
knee
center was. He was told th!
 at if the surgeon had only cut of another couple of inches he ( the
prosthetist ) could have done a better job as far as height. If he had
used
appropriate complementary he would have had plenty of room. At least i
said
if he was able to walk well with the leg one could say the his provider
might have made a ton of money but at least he would be able to get
around.
Of course if the prosthetist was questioned he would say the doctor
signed
of on it . we al know we can send almost any request to most MDs as they
dont know what the items mean. Mabey im not thinking ahead of the curve
,
again the leg weighed 11 pounds .does anyone else consider this a rape
of
the system? Phillipe Cartaya CPO, myrtle beach SC
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